DR. AMIT KUMAR GUPTA (NPI# 1114252475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114252475 |
| Entity Type | Individual |
| Full Name | DR. AMIT KUMAR GUPTA |
| Credential | MD |
| Practice Address |
100 Magnolia St Unit 5315 Jacksonville FL 32204-2200 |
| Practice Telephone | 6177946864 |
| Mailing Telephone | 6177946864 |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2017-06-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | BP10034481 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
BP10059228 | TX | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 036.130384 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073635462 | Amit Gupta | Internal Medicine | 1100 E. 21st St., Ste. 601, Sioux Falls, SD 57105-1000 | 2007-04-04 |
| 1740274612 | Amit Gupta | Surgery | 300 South Ave, Garwood, NJ 07027-1312 | 2005-09-07 |
| 1073096186 | Amit Kumar Gupta | Pharmacist | 101 Wallace Ave, Downingtown, PA 19335-2604 | 2018-09-13 |
| 1942619317 | Amit Gupta | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave, University Hospitals Case Medical Center, Cleveland, OH 44106-1716 | 2014-08-10 |
| 1306266523 | Amit Ajay Gupta | Family Medicine | 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 | 2014-04-28 |
| 1679991277 | Amit Gupta | Family Medicine | 414 Doctors Ct, Oshkosh, WI 54901 | 2014-04-01 |
| 1982040994 | Amit Gupta | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, 3116 Taubman Center, Spc 5368, Ann Arbor, MI 48109-5000 | 2013-05-16 |
| 1740599331 | Amit Gupta | Radiology | Hsc Level 4 Rm 120, 100 Nichols Road, Stony Brook, NY 11794-8460 | 2010-09-29 |
| 1902039597 | Amit Gupta | Physical Therapist | 35746 Harper Ave, Clinton Township, MI 48035-3212 | 2009-08-28 |
| 1356572853 | Amit Gupta | Physical Therapist | 540 S Parker St, Suite B, Marine City, MI 48039-3593 | 2009-07-31 |
| Street Address |
100 MAGNOLIA ST UNIT 5315 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32204-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811218068 | Michelle M Silva-acosta | Specialist | 100 Magnolia St, Unit 7307, Jacksonville, FL 32204-2200 | 2010-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719853 | North Florida Surgeons, Pa | Orthopaedic Surgery | 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 | 2019-06-18 |
| 1770043531 | Manuel Viado Rosas | Physical Therapist | Bold City Therapy and Wellness LLC, 2054 Park Street, Jacksonville, FL 32204 | 2019-03-20 |
| 1255805172 | Tracie Nickole Singh | Marriage & Family Therapist | 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 | 2019-01-14 |
| 1427548544 | Bold City Therapy and Wellness LLC | Clinic/Center | 2054 Park Street, Jacksonville, FL 32204 | 2018-05-14 |
| 1356883078 | Lcn Enterprise, LLC | Case Manager/Care Coordinator | 1225 W Beaver St Ste 106, Jacksonville, FL 32204 | 2016-11-11 |
| 1073065082 | Prosser and Prosser LLC | Non-emergency Medical Transport (VAN) | 2120 Ernest St, Jacksonville, FL 32204 | 2016-10-26 |
| 1336529817 | Nader Daoud | Internal Medicine | 1 Shircliffway, Jacksonville, FL 32204 | 2015-06-01 |
| 1194119214 | Benjamin James Dionne | Internal Medicine | 2 Shircliff Way Ste 400, Jacksonville, FL 32204 | 2015-03-26 |
| 1598187932 | Jamara Stephens | Counselor | 1225 W Beaver St Ste 205, Jacksonville, FL 32204 | 2014-01-18 |
| 1154743961 | Kathleen Jasper | Nurse Anesthetist, Certified Registered | 2165 Herschel Street, Jacksonville, FL 32204 | 2014-01-14 |
| Find all providers in zip 32204 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1619476785 | Synergy Health Group LLC | Internal Medicine | 7828 Collins Grove Rd, Jacksonville, FL 32256-7175 | 2018-02-05 |
| 1366950230 | Cardiac Cin of Jacksonville LLC | Internal Medicine | 1301 Riverplace Blvd # 800c, Jacksonville, FL 32207-9047 | 2018-01-13 |
| 1982677068 | Abdul Rahman Kani | Internal Medicine | 8245 Bayberry Rd, Jacksonville, FL 32256-7432 | 2006-02-09 |
| 1881197044 | John-paul Pham | Internal Medicine | 1907 Atlantic Blvd, Jacksonville, FL 32207-3405 | 2018-03-14 |
| 1891294856 | Synergy Health Group LLC | Internal Medicine | 7828 Collins Grove Rd, Jacksonville, FL 32256 | 2018-02-06 |
| 1013375195 | Duval Vascular Center, LLC | Internal Medicine | 915 W Monroe St, Suite 100, Jacksonville, FL 32204-1177 | 2016-02-04 |
| 1114332962 | Advanced Vascular Resources of Jacksonville, LLC | Internal Medicine | 4253 Salisbury Rd, Jacksonville, FL 32216-6121 | 2014-06-30 |
| 1992058333 | Omar Marwan Hamoui | Internal Medicine | 7011 A C Skinner Pkwy Ste 160, Jacksonville, FL 32256-6953 | 2012-10-23 |
| 1760751598 | Baptist Cardiology, Inc. | Internal Medicine | 3563 Phillips Hwy Ste 106a, Credentialing Department, Jacksonville, FL 32207-5663 | 2011-12-22 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32204 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.